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DR. MICHAEL A COSTELLO DMD
NPI 1336220466
Oral & Maxillofacial Surgery in Maywood, NJ

Active since October 17, 2006Opted out of Medicare · through Apr 1, 2028
949 SPRING VALLEY RD, MAYWOOD, NJ 07607(201) 712-5556(201) 712-5556 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael A Costello Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL A COSTELLO DMD (NPI 1336220466) is an individual oral & maxillofacial surgery provider in Maywood, New Jersey, licensed in New Jersey (22DI0198470) and active in the NPI registry since October 2006. He has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1336220466
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. MICHAEL A COSTELLOCredential: DMD
Location Address949 SPRING VALLEY RDMaywood, NJ 07607
Mailing Address949 Spring Valley RdMaywood, NJ 07607 · (201) 712-5556 · Fax (201) 712-9190
Phone(201) 712-5556
Fax(201) 712-5556
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateNovember 18, 2016
✔ NPI 1336220466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in NJ · 22DI0198470
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DI19847 (NJ), 22DI0198470 (NJ)
949 SPRING VALLEY RD, Maywood, NJ 07607
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michael A Costello Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW JERSEY CENTER FOR ORAL & MAXILLOFACIAL SURGERY
Oral & Maxillofacial Surgery
949 SPRING VALLEY RD
MAYWOOD, NJ 07607
Bergen County (201) 712-5556

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Costello's NPI number?

The NPI number for Michael Costello is 1336220466. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Michael Costello located?

Michael Costello practices at 949 Spring Valley Rd, Maywood, NJ 07607. The listed phone number is (201) 712-5556.

What is Michael Costello's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Michael Costello enrolled in Medicare?

No. Michael Costello has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Michael Costello accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Michael Costello as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Costello was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.